HomeMy WebLinkAbout07-13-11 (2)..! 1505611185
REV-1500 EX (02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 28a6o, ~I I ( ~~~ 5
Harrisburg, PA 1 7 1 28-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY
189-12-2300 11172010
Decedent's Last Name Suffix
MANGO
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
FILL IN APPROPRIATE BOXES BELOW
Date of Birth MMDDYYYY
2261922
Decedent's First Name M I
AMELIA C
Spouse's First Name M I
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
^ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (Date of Death
Prior to 12-13-82)
^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required
death after 12-12-82)
^ 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust - 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
^ 9. Litigation Proceeds Received ^ 10• Spousal Poverty Credit (Date of Death ^ 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
WANDA K• DIETRICH, CPA 717-264-5961
r~
First Line of Address
ROTZ & STONESIFER, P•C•
Second Line of Address
1134 KENNEBEC DRIVE
City or Post Office State ZIP Code
CHAMBERSBURG PA 17201
REGISTE 1~(LLS USE 6bIZY
~:. CJ c.-.. t. ~~ ~ ,,
r'Tl .~ r- _..
~. ~ ~ C..~ :_ i
C7C~7~ ^ ~ ~
~ ~ c:..~i ~~ -
~E FILED F-''~
Correspondent'se-mail address: WANDAaROTZANDSTONESIFER • COM
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
'Y
--~
~_~
`_- .
k,_. ~
c'
-, i
~.~
~,~
Side 1
1505611185 owasa~ sooo 1505611185
l1LllJf\LJJ
1134 KENNEBEC DRIVE, CHAMBERSBURG, PA 17201
PLEASE USE ORIGINAL FORM ONLY
1505611285
REV-1500 EX (FI)
Decedent's Social Security Number
189-12-230
Decedent's Name: A M E L I A C M A N G O
RECAPITULATION
1. Real Estate (Schedule A) 1.
2. Stocks and Bonds (Schedule B) . 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3.
4. Mortgages and Notes Receivable (Schedule D) 4,
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 5 , 7 3 5 • 19
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g,
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7.
8. Total Gross Assets (total Lines 1 through 7) g. 5 , 7 3 5 • 19
9. Funeral Expenses and Administrative Costs (Schedule H). g, 4 , 2 4 7 • 5 ~
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 1 p.
11. Total Deductions (total Lines 9 and 10) , 11, 4 , 2 4 7 • 5 0
12. Net Value of Estate (Line 8 minus Line 11) 12. 1 , 4 8 7 • 6 9
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) , . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) , 14, 1, 4 8 7 • 6 9
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 _ 15.
16. Amount of Line 14 taxable
at linealratex.o45 1,487 • 69 16. 66.95
17. Amount of Line 14 taxable
at sibling rate X .12 17
18. Amount of Line 14 taxable
at collateral rate X .15 1 g.
19. TAX DUE 19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
15(]5611285 1505611285
OW4646 3.000
66.95
REV-1500 EX (FI) Page 3
~ JJ_~~~.
File Number 21-11- 0 0 4 5
LJCVriUG11l 7 Vv111 1{-ia~i n
DECEDENTS NAME
STREET ADDRESS
710 OAK HILL DRIVE
CITY STATE ZI P
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) b b • 7 5
2. Credits/Payments
A. Prior Payments
B. Discount
Total Credits (A + B) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Llne 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 6 6. 9 5
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
X
a. retain the use or income of the property transferred ^ ^X
b. retain the right to designate who shall use the property transferred or its income
c. retain a reversionary interest
X
d. receive the promise for life of either payments, benefits or care?
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death ^ ^
without receiving adequate consideration? .
h? ^ ^
X
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her deat
4. Did decedent own an individual retirement account, annuity, or other non-probate property, which ^ ^
contains a beneficiary designation?
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent [72 P.S.~9116 (a) (1.1) (i)].
Far dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. X9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent (72 P.S. ~9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. ~9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
owas>> z o00
REV-1508 EX+ (1 i-10)
pennsylvania SCHEDULE E
DEPARTMENTOF REVENUE CASH, BANK DEPOSITS, ~ MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
AMELIA C MANGO
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorshie must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. ~, F & M TRUST CO. CHECKING ACCOUNT # 34-84793 4,546.19
2. ~ BETHANY `JILLAGE, REFUND OVERPAYMENT OF NURSING HOME COSTS
TOTAL (Also enter on line 5, Recap
owasAD 2.000 If more space is needed, use additional sheets of paper of the same size.
1, 189.00
g~ 5,735.19
REV-1511 EX~ (10-09)
pennsylvania
DEPARTrv£Ni OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
AMELIA C MANGO
Decedent's debts must be reported on Schedule t.
ITEM
NUMBER DESCRIPTION
A. FUNERAL EXPENSES:
~ FUNERAL MEAL, FLOWERS & HONORARIUMS
2. MONUMENT
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
Citv
State _ ZIP
Year(s) Commission Paid:
2. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
~. BETHANY SKILLED NURSING HOME
8.
TOTAL (Also enter on Line 9, Recapil
owasac 1 00o If more space is needed, use additional sheets of paper of the same size.
AMOUNT
425.00
125.00
72.5C
325.00
3,300.00
9,297.50
REV-1513 EX+ (01-10)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF: FILE NUMBER:
AMELIA C MANGO
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
CAROL A. GARDNER DUAGHTER 743 ~r~
1 710 OAK HILL DRIVE
BOILING SPRINGS, PA 17007
RAYMOND D. MANGO, JR. SON 743.84
ONE BACK WAY COURT
COLUMBIA, SC 29229
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
~~ NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1
TOTAL OF PART 11 ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ S
If more space is needed, use additional sheets of paper of the same size.
owasAl t o00
1-
~ a7 ~~ ~~~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
nPE PR'"T w CERTIFICATE OF DEATH
PERMANENT
OUC. ~wc (Ses Instructions sod examples on reverse) STATE FILE NUMBER
z s.a ~. smr seamy NaPe.r ~ D.r a Deae IMan dr. lwl
1. Name d Daofdwa IFnt nvd0e. Mw, sdfiil
Amelia Christina .Man o emale l89 - 12 - 2300 November 17 2010
s A7 llaw Bvtrayl Urror r rw UnOr 1 na B Oer d Bum Mmm, m . 7. C' ana Wr a A. Plsu d 0•an CMCt ar
far• D.yf NPaa fraatl HoapW. Darr.
88 rn f'ebruar 26, 1922 Pittsbur h, PA ^mwY+ ^eBla,pe.a ^~ ~"""aM0"" ~p'M01° ~0~"`'spe1al`
Bfl. Faairy Name In nd ntlWeon, ¢n s4tl1 a+q rrnrYl 9. Wtl DeaCad d IYeDYai Or9nt ®Ib ^ rtl 1Q BaOe: Mrean Ylenl 61.6 MItl. at
' m Could a Dam Y. CM, Barn. Twp. d D•am In Ytl. fP• ~Y Gotl, ISnftl11
Maaican, Puwb Pozen, at 1 Whit e
Cumberland Lower Allen Tw $ethan Villa a la ~~ ~~ ~~~ 19 Sa~+y SOaAr /N •+. yw nfrean nrtli
r l pecaOanYS UsaY Kna a aqn aana mrw a w•. Do na war raaaa 1T. Wtl o.aar+.wr n mr u. D.carv'. Eacwm IsvKM aM 7~• ) wmwa. Dworua Isparr~
Iw a wa• Iwa avwir lnaaay U S AmrO Faar7 El,,,,,,,u,y 1 Sxadary (P12) CaYpe (1J a 5.1
^vtl ®NO 2 Widowed
Housewi a pq pK~,p
r6. DeaMw s MarV:q AOM•u lSutlr. ury ~ b.n, war. Lp co0a1 OeceaYws 1 n~ a+ r A 1 I e n Tq.
Aiwal Resderr,t t7a. Su4 Pe n n sy 1 va n i a Lw• n ~ ~ 17c. ®Ytl. D.c.oYa LNW n
5225 Wilson Lane °irr"° na.^Na.D«eawLwwAw.r
170 Cumberland Ac"wL;rwa CplBae
Mechanicsburg, PA 17055
19. Matlrfs Name IFrw, ne0y, nriaan wAnYrwl
18. Faralfs Name lFaw. nWW, lul, wIFU)
Secondo Gonella CnroLine Gnrrone
20D nlamw's Mawq Aattla ISY••L a1Y I bwn, war. xb aral
211.. nbrmarN f Name ITyq; Prrnl .
,Nrs. Carol A. -ardner 710 Oak Hill Drive $oilin S rin s PA 17007
tt a Memoa a Drps:oan ®G«rrmn ^ Dar•Pn 21C Dwa d DrpocAOn IMmm, OaY. Y•Y) 2lc PMce d DapoWPn lName d anwry. cr•mawry a omw Olii•r 21C LPaWn ICxYI b.r, mb. tY wAq
^ Barl ^ RYanYnansrlo ytl~G"~fl"'roA'tAn°^'e®rw^NO Nov. IB, 2010 Cremation Societ of PA Harrisbur , PA 17109
^ ~..
~ z2, aFUrra L,urwalawrsonacen9useM) zzel<«wwmoY zzcwm.YrAOa•tlaP+caM Auer Cremation Services of Pennsylvania, Inc.
3 ~ . ~ f'D-013376-L 4100 Jonestown Road, Harrisbur , PA 17109
Zia. Lwnu Mnbr -/ 23c. Oeb SgrO Asael. ~1• W~1
r : 27a< aW rg 27a is it CtlL d wa»isaq~ ~ arr, aw Pl.c• ~ lsgwur Yd uo.l ~ ~07 ~~ / ~ ~ I - / 7 - a 0/ D
na araYOr w aun r .~/~l
dawn
2a Tma a D•an 25. Ow PrarucM Dua iMPM, afq, Y•YI 26. wtl Catl RaIYrW r Mafbl E+mw . Caaw b a Ratlon Ofrr M Cnnalbn a Oantlar
:wro 242a mm a carriplale0 or persm ~ 5! 5 ~ ! ~ (,/' ^ vtl ~ No
.ro aanWUf aa.n M.
, AppaWNM +Vaval'. PN Is. Einar amx 20. DE Toarin Utl Cmthaa b t
CAUSE Of DEATN (Sar Irrtruetiar ~M .aampW) ^~rMy ~ qupspl~
irrn 27 Pan I EnIY ttr roan ~a er ~ - atlatls. rrara. a aergeaow ~ mM WK7Y uar0 tlr aam. DO NOT YaY IerrrwW wMr wan u carolac Yraw. :k~fY la Dam Ea nd rewunq .n nr a+aerlyeg a~• 9^'M n PY11. CJ ND ^ lYbr~n
ref Wabry Yral w +anrrcWY fdtliom :wmw ww.q 11M •.ar4/ l,w a+Y ar auw m .aai w
a1rEDUTE CAUSE IFnY atlas a h 1 W R E I d° `I ~1 ry,e rln 1 U n n F.nr.:
caroea+,.wlmq n .~aml _~ a CO N~ E S T 1 V E N Elf R r F /~ ~'1~agw e+'" Par Y.r
M n ;a tl a answ.w+~ dl 1 S E rf S C- ; - [a rS Vl A SltiO r n IC's h ht+l ~cW~n ^ P'•iti'+y an d aWr
5prr+~y :m ;,agloorn n any. a [ V LZ y NA (~ Y A RTCIZY P ^ Na Prgrrc nd agr.a .e.f a aq.
rayq r dr :aur ~+inG an w a Pw to ~a as a mw7+^u dl. d OWr
Enrr dr UNOEPLrgIG CAUSE
Owtl a relay ntl uuaar0 Rr ^ Nal pgrM1 nM p•7lrA U C!/. b 1 ytlr
~a:araaq n Jtlml LAST. ~ Drw b Ia tl a aPraWrru dl. aMa• o•im
^ lAAnean 1 qpr. Aare h P•r 1~
D r
32a Dar d Vpay IMa:n. X7+1. r•Yl 72o Desc+~Da rq• Inlay ()aarep 72c Prof d Yq/y rfatl FYm. Soal Faaery,
711a Nas sn Aulo•IVY Ylb W'• A`AaKY F"~~ ] I MatnY d D.an Olin Blatlry afi ISPaaM1I
PManra"' A.aaaar Pm W l.miprean f"L! rL ^ Hy~yya
~~~~ ~~ a caw. a Owmr Cl r'a^~ ArGO.M ^ PrnV ~^•~Y•~ 72C Tin. a Inlay JY. ~nWY Y wa\? Y!1 n rranWau.m IrM/Y ISO•~/'1 724 LOCYrar a +M/Y IstMl. IY r ID/r. mb)
^ rtl IiG'b ^ rtl ^ Na ^ No ^ pr.Y:ap.rw ^ Paswgr ^ PeOaslrrn
^ $acga U C.a,w Nd a OalYnrra r ^ /tl , On:•r Spfp
Tao ~• rq rua a Cardw
iia Canuw :~7raia avy .,real
CMMn9 DnlYCrn I Pr,yvcw .•n:hng ~• a Agin •n•n Ywew PnYK'•n ^++ aagaca Dun Ya carcrfw Iffm 27I _ ~ l'l rt,../~.<t kf 1 n1 V
7•ln•e.wdmrw.rey.,a..m.ca..wawmm.aYrwerYrmY.r«u,L.ra--------------------------------- - ur .cYn+Narw 7aa Darsrgn•olMarra.Y rwl
• PrarunGeq arse CMIfyPSq PA1Yiw ~Pn,fyYr sere ponwe:+g aaam Yq:M/yng ta,~..a a luml
tour o•Y d my w+rap., e.am axuna r ur Pma. ar. anG Pra•, arra ar m ma c.u..L.l arr mrnar tl alatld - - - - - - - - - - - - - - - - - - ~~ M t) 4 2 I ~ s V 1 r I l 1' 2 v I o
.~ M•OrcY EaamAwrCaanw
On Ur Oaua aaam•faaoA area I a ewtliry,rn, oW^r . dtlN a:oarW w IM Inr. 0atl, 1n0 P~•. aM M b LM GW W it an0 marur/ 4 iW.i ^ ]a Nirtr Yr Wasu a Perm WM C/jWrleC cause J Deere ~ ItMn 271 iypa Pml
.~ ~ N ~ aH Z 7- ~` 1-~C110-~ ~V Y 17717 .t
?t Rn~ aY s l w 38 GN0 ~ aaY raYl
',L.ltib l -M.,cILt 1=c11 CGT~~,rl -ul'7crl
~ ~ - -
awrasam P«nM ~ L7566056
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
CERTIFICATE OF
GRANT OF LETTERS
No . 201 1- 00045 PA No . 21- 1 1- 0045
Estate Of : AMELIA CHRISTINA MANGO
lFils4 Middle, Cesll
Late Of : LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No : 189-12-2300
WHEREAS, on the 10th day of January 2011 an instrument dated
June 7th 1991 was admitted to probate as the Last will of
AMELIA CHRISTINA MANGO
lFilsL Middfc, Lastl
late of LOWER ALLEN TOWNSHIP, CUMBERLAND Caunty,
who died on the 17th day of November 2010 and
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi11s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
CAROL ANN GARDNER
who has duly qualified as EXECUTOR(RIXI
and has agreed to administer the estate according to Iaw, all of which
full y appears of record in my office a t CUMBERLAND COUNTY CDURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 10th day of January 2011.
~/~~
eglster c~LVd/s
1
~t~1"Lfl~.-~ ~C ~~ S~ L/
~ Deputy
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
+`~~t~# ~iti ttnd des#ttmPn# ~,
of `~=
- ~~~
= --~-: ~,
AMELIA C . MANGO . `=~ _
_ ,-;
- ~;_-,
~~ ,
I , AMELIA C . MANGO , of the Borough of Latrobe, Crnmty of
Westmoreland and Coaealth of Pennsylvania, being of sound mind and
mamry, do hereby make, publish and declare this to be my Last Wilt
and Testament, hereby revoking any Will or Writing of a testamentary
nature previously made by me.
FIRST: I direct that all my just debts and funeral expenses be
paid from the assets of my estate as soon as practicable after my
decease.
SECOND: I leave, devise and bequeath all the rest, remainder and
residue of my estate of either real, personal or mixed property of
every nature and wherever situate to my husband, RAYMOND D . MANGO ,
provided he survives me by at least thirty (30) days.
THIRD: In the event that my husband, RAYMOND D . MANGO , fails
to survive me by at least thirty (30) days, I leave, devise and
bequeath all of my estate to my children, RAYMOND D . MANGO , JR . ,
and CAROL ANN GARDNER, in equal shares, share and share alike.
1
r. ,
V
- ;
..~~C~
'T1
FOURTH: I appoint my husband, RAYMOND D . MANGO , as Executor
should my husband, RAYMOND D . MANGO , predecease me, I appoint
RAYMOND D . MANGO , JR . , and CAROL ANN CARDNER, as Executors of this
my Last Will and Testament.
FIFTH: I direct that my personal representative should not be required
to give bond for the faithful performance of his or her duties in this or
any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
`] ; ~, day of ~ t..' ~.: 1991.
~~ ~.f,.~: ~ C~,'~c ~~ ~ ~i~ ~r.~?~i.- (SEAL)
AMELIA C . MANGO
The preceding instnanent was on the date thereof signed, published
and declared by AMELIA C. MANGO, as and for her Last Will in the presence
of us, who at her request, in her presence and in the presence of each other
?eve subscribed our hands as witnesses thereto.
Witness:
f~
Address:
Witness:
Address:
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF WESTMORELAND
I~ AMELIA C . MANGO testat rix ,whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby ac-
knowledge that I signed and executed the instrument as my Last Will; that I signed it willingly;
and that I signed it as my free a~ut voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by AMELIA C . MANGO ,
the testat rix ,this 7th day of June , 1991
Mctarial Seal \,
Cy~hia.kanne Fhe2, Flotary Pub!lc
(SEAL} +~~e:E~o nf~~~~' S~~ sn~ -------•---•Notary-- Public---------•----------•---------•---------
Title of O,~cer
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
88.
COUNTY OF WESTMORELAND
We, RICHARD L . JIM and CAROLYN K. GUSKIE4JICZ ,
the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the testat rix sign and
exerutr, the dnstrccmem~t a^ a fieG woad voluntary act for the purposes therein expressed;
that eac)r, of us i~z the hearing and sight of tlie testat rix signed the Will as witnesses;
and that to the best of our knowledge the testat rix was at that tome 18 or more
years of age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed~toCbe~fo01e~ Kby~~~ `DZ JIl`~ '
,witnesses,
this 7th dal/ of June , 19 1 .
Plo'.~: ~a~ gal
Cy.';h~a,h~a~,ne rr~r.=. h1~ ary u~.,rc ------ --------•- ---
l~ ,.: ,?.crc : c;,- ^ ~:,r,~ ;,cony -
r
Notary Public - _ -_--_-__----_-.-.
-.- -- _
Title of U/ficer
LETTERS TESTAMENTARY
ESTATE OF:
AMELIA CHRISTINA MANGO
LATE OF
LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
PENNSYLVANIA
DECEASED
ISSUED:
JANUARY 10, 201 I
ESTATE No:
21-2011-0045
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS & CLERK OF THE
ORPHANS'COURT
CUMBERLAND COUNTY COURTHOUSE
1 COURTHOUSE SOUARE
CARLISLE, PA i 7013-3387
n
w a ~
z _ ~°
i
V7 rrl'~.. ~~_ ~..1../~
00¢0 -~
L(/fl~t~1~
~ Q-
'~y
i
• .. .r ^
~~
J
_:
~ _ Q
Us
-_ ~_.. r
_ _• 3
~ C/~
-
~ L (.. ~ ~ ~..~ ~
v
~
/
~
~`.~
CO
T
z O O
~ r ~,-
Q
~
/~
I~
-~~o ~a
~ ~
O i
U
'~ ~ Q Q ~C
~ J m
~
J ~ ~ ~ ~
T T LO
~o
W a oW
LL
U _
~ Ln
>N
• fns
L T
O Q ~ f
LO Q
4.L C L.L
~ ~
L - N
rt+
__
dl
fA iT.
O ~
~~ ~
~ M
O °M
U ~ I
1~ M
~ ~ ~ ^~
r-I a+ ~ O
~ q C~
•~ ~ cn ~
~ U 4J ~i
O ~ O ~
I-I R1 ,.G' N
r"I ~ rl
U] N ~ '1"I
.tom F U S-1
P4 U ~--+ U